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~- I~D <br />~~~~1 <br />AN~Ni^iAi, FF.F, and RF,P(lRT REni1F.ST <br />P <br /> <br />;-~ : ~ ~ ~. <br /> <br />PERMTTTEE NAME: T//WK Enterprizes Inc <br />PERMIT NO.: fM-1988-090 <br />OPERATION NAME: Deer Trail Pit <br />ANNIVERSARY DATE: December 7, 2005 <br />ANNUAL FEE DUE: $688.00 (Due on or before your anniversary date) <br />COUNTY: Arapahoe <br />According to C.R.S. 34-32.5-116 or C.R.S. 34-32-116, each year, on the anniversary date of the permit, an operator <br />__ __ _ shall submit the annual fee, a re ort and map showing the extent of current disturbances to affected land, <br />reclamation accomplished to date and during the preceding year, new disturbances that are anticipated to occur <br />during the upcoming year, reclamation that will be performed during the coming year, the dates for the beginning <br />of active operations, and the date active operations ceased for the year, if any. <br />Please attach y9mr revised written annual report and annual re~{prt main to this fnrm_ please note that an <br />adequately labeled map that clearly delineates and includes the above elements may since for a written report. <br />Division records indicate the following permittee contact information. Please verify and make any necessary <br />changes: <br />Permittee Contact: Wayne Pipkin <br />Permittee Name: TWK Enterprizes Inc <br />Address: P.O. Box 404 <br />Phone Number: <br />Byers, CO 80103 <br />(303) 622-9491 <br />Fax Number: <br />(303) 622-9553 <br />If you have addifional comments and/or information that should be provided to the Division, please provide it <br />below or attach it to this form along with your written report and map. Annual Report instructions are enclosed. <br />l / ~ <br />Signatureq Corp rate facer, 6ltivtle ~, or Designee <br />~//~- ,~ - ~ S- <br />Date <br />